Organization Active NPI

Crown Medical Home Health Agency Inc

  • Nursing Facility/Intermediate Care Facility
  • Minneapolis, MN
National Provider Identifier
1154567436
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
338043 Issued in MN
Legal business name
CROWN MEDICAL HOME HEALTH AGENCY INC
Practice address
1925/1931 1St Avenue South
Minneapolis, MN 55403-3724
Phone
(612) 978-3783
NPI assigned
Dec 17, 2008
Organization subpart
Yes
Parent organization
CROWN MEDICAL HOME HEALTH AGENCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joyce Ihioma Onyekaba, M.D
Title
Director
Phone
(612) 978-3783

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 342349 MN
Nursing Facility/Intermediate Care Facility 313M00000X 338043 MN Primary

Addresses

Primary practice location

1925/1931 1St Avenue South
Minneapolis, MN 55403-3724

Mailing address

1925/1931 1St Avenue South
Minneapolis, MN 55403-3724
Phone (612) 978-3783

National Provider Directory

National Provider Directory
Part of
Crown Medical Home Health Agency Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1154567436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925/1931 1ST AVENUE SOUTH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033724",
            "telephone_number": "612-978-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925/1931 1ST AVENUE SOUTH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033724",
            "telephone_number": "612-978-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN MEDICAL HOME HEALTH AGENCY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROWN MEDICAL HOME HEALTH AGENCY",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "ONYEKABA",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "IHIOMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-978-3783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "342349",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MN",
            "license": "338043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.